Free Confidential Substance Abuse Assessment

Addiction, which is known clinically as a substance use disorder, can only be diagnosed by a qualified professional. If you are not sure as to whether or not you should consult a doctor or other expert about your substance abuse, this self-assessment worksheet may offer some guidance.

1. Have you ever abused substances while alone?

Yes

No

2. Have friends and/or family members expressed concern about your substance use?

Yes

No

3. Has your substance use been a source of conflict in your marriage or with your boyfriend/girlfriend?

Yes

No

4. Have you lied to friends or family members about the amount and frequency of your substance use?

Yes

No

5. Have you lied to a doctor in order to obtain prescription medications?

Yes

No

6. Has your substance use negatively impacted your performance at work or school?

Yes

No

7. Have you stolen substances, or stolen money or property in order to buy substances?

Yes

No

8. Have you awakened after using substances with no memory about what you did while you were high?

Yes

No

9. Have you used substances in order to wake up in the morning and/or to go to sleep at night?

Yes

No

10. Have you used one substance in order to intensify the high from another substance?

Yes

No

11. Have you used one substance in order to recover from using another substance?

Yes

No

12. Have you used substances as a way of dealing with stress, pressure, and other negative experiences?

Yes

No

13. Have you tried and failed to reduce the amount and/or frequency of your substance use?

Yes

No

14. When you try to stop using, or when you can’t use, do you start to feel sluggish, sick, agitated, or depressed?